NPI: 1386866960 · PHOENIX, AZ 85008 · 207L00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 491 | $5K |
| 2020 | 17 | $2K |
| 2021 | 22 | $3K |
| 2022 | 196 | $23K |
| 2023 | 213 | $37K |
| 2024 | 177 | $42K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00731 | 635 | 562 | $109K | |
| 00812 | 15 | 12 | $2K | |
| A4649 | Surgical supplies | 63 | 39 | $1K |
| A7000 | Disposable canister for pump | 26 | 22 | $120.45 |
| E1399 | Durable medical equipment mi | 66 | 39 | $105.58 |
| A4628 | Oropharyngeal suction cath | 25 | 21 | $61.35 |
| A4615 | Cannula nasal | 59 | 38 | $12.32 |
| A4213 | 20+ cc syringe only | 66 | 39 | $4.97 |
| A4215 | Sterile needle | 65 | 38 | $0.18 |
| J2001 | Lidocaine injection | 35 | 18 | $0.06 |
| 99070 | 61 | 35 | $0.00 |